Asfour Luma, Saleh Ali Moh'd, Abu-Wardeh Yousef
School of Nursing, The University of Jordan, Amman 11942, Jordan.
Clinical Audit Division, Institutional Development and Quality Control, Ministry of Health, Amman, Jordan.
J Nurs Manag. 2025 Jun 17;2025:1028249. doi: 10.1155/jonm/1028249. eCollection 2025.
Servant leadership (SL), characterized by moral behavior and a focus on serving and empowering team members, is particularly relevant in a critical care setting, where a highly pressured environment requires a consistent and empowered team. Psychological safety (PS), a high perception level, and speaking without fear of penalty are highly recommended in critical care areas, including ICUs, CCUs, ERs, burn units, and any other departments that require intensive care for patients to maximize professionalism and improve patient outcomes. This study aimed to investigate the relationship between SL and PS as perceived by nurses in critical care areas of Jordanian hospitals. A descriptive, cross-sectional, and correlational design was used. A convenience sample of 207 registered nurses working in inpatient departments and the Hemodialysis Unit across five Jordanian hospitals participated in the study. Data were collected using the SL survey and the PS survey to measure the nurses' perceptions of SL and PS. Critical care nurses reported a moderate perception of SL ( = 66.7 out of 108) and PS ( = 90.4 out of 133). A strong, significant, and positive correlation was found between leadership and PS ( = 0.74). Regression results indicated that SL was a significant predictor of PS ( = 0.82, < 0.001). SL is a key factor in healthcare institutions that facilitate PS among critical care nurses.
仆人式领导(SL)以道德行为为特征,专注于服务和赋能团队成员,在重症监护环境中尤为重要,因为这种高压力环境需要一个始终保持团结且有能力的团队。心理安全(PS)、高度的认知水平以及无畏惩罚地表达观点在重症监护领域被大力提倡,这些领域包括重症监护病房(ICU)、冠心病监护病房(CCU)、急诊科(ER)、烧伤科以及任何其他需要对患者进行重症护理的科室,以最大限度地提高专业水平并改善患者治疗效果。本研究旨在调查约旦医院重症监护领域护士所感知的仆人式领导与心理安全之间的关系。采用了描述性、横断面和相关性设计。一个便利样本由约旦五家医院住院部和血液透析科的207名注册护士组成,他们参与了该研究。使用仆人式领导调查问卷和心理安全调查问卷收集数据,以衡量护士对仆人式领导和心理安全的认知。重症监护护士对仆人式领导的认知程度为中等(108分制下得66.7分),对心理安全的认知程度为中等(133分制下得90.4分)。发现领导能力与心理安全之间存在强烈、显著的正相关(相关系数=0.74)。回归结果表明,仆人式领导是心理安全的一个显著预测因素(相关系数=0.82,P<0.001)。仆人式领导是医疗机构中的一个关键因素,有助于在重症监护护士中促进心理安全。